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Code of Conduct Report Form
If you'd like to report a break of the AIGA Los Angeles Code of Conduct, please fill out this form or reach out directly to a board member if you feel comfortable.
Sam Cabrera
scabrera@aigala.org
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* Required
If you feel comfortable sharing for follow up, what is your name?
Your answer
And your email address?
Your answer
If you're reporting an individual, what is their name?
*
If you do not know their name, please add a description.
Your answer
When did the event occur?
*
Your answer
Where did this happen?
*
Your answer
Were there any witnesses?
*
If so, any names would be helpful.This question is required.
Your answer
Could you tell us what happened exactly?
*
Provide as much detail as you can.
Your answer
Is there any other background info we should know?
Your answer
Have you directly expressed your concerns to this individual?
*
If you are not comfortable speaking to the individual alone, we understand.
Yes
No
Other:
Have you shared your experience with another board member before completing this form?This question is required.
*
Yes
No
Other:
Would you like a board member to follow up with you about the report?
*
Yes
No
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